This mindset is aggressively capitalistic...
Basically, the capitalistic mindset is: you need to earn your living and pay for everything that you get.
So when he qualifies it with "able to work but unwilling to work" ... In his mind, that's an egregious fault that puts a person into a place in his mind where they are invalid, and not worthy of anything.
This is how these fucks think. No empathy. No humanity. No "helping" anyone with anything unless they get something in return .
It's about them, and they don't want to "pay for" (via taxes) someone else's healthcare when that person did not earn it for themselves.
They're dicks. Every last fucking one of them.